Organization
DERMATOLOGY CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS BONINO SR. MD (MD)
(313) 937-1200
Entity
Organization
Contact information
Practice address
25510 PLYMOUTH RD, REDFORD, MI 48239-2025
(313) 937-1200
Mailing address
25510 PLYMOUTH RD, REDFORD, MI 48239-2025
(313) 937-1200
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
05/14/2008
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